Evidence map›Paper›PMID 31919742›Full record

ArticleProtein & cell2020

Washed microbiota transplantation vs. manual fecal microbiota transplantation: clinical findings, animal studies and in vitro screening.

Ting Zhang, Gaochen Lu, Zhe Zhao, Yafei Liu, Quan Shen, Pan Li, Yaoyao Chen, Haoran Yin, Huiquan Wang, Cicilia Marcella and 4 more

12 registry-linked trialsOpen access · diamondAbstract read
In one paragraph

Article in Protein & cell, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 12 registered trials, which are not on this map. Cited by 170 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
170citing papers in PubMed, 8 pooled it
3.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02897661 naunknown statusnot on this map

Washed Microbiota Transplantation Combining Exclusive Enteral Nutrition Contribute to Nutritional Improvement of Patients With Crohns' Disease

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2016 to 2020Enrolled30ConditionsCrohn's DiseasesArmsWMT, EEN
NCT04251767 nawithdrawnnot on this map

Washed Microbiota Transplantation for Patients With 2019-nCoV Infection: a Randomized, Double-blind, Placebo-controlled Study

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2020 to 2020Enrolled0ConditionsCOVID-19 Complicated With Refractory Intestinal InfectionsArmswashed microbiota transplantation, placebo
NCT04721041 narecruitingnot on this mapstarted 2021, after this paper: background citation

Efficacy and Safety of Washed Microbiota Transplantation for the Treatment of Oncotherapy-Related Intestinal Complications

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2021 to 2025Enrolled200ConditionsIntestinal Complications, CancerArmsWashed Microbiota Transplantation (WMT)
NCT04989374 unknown statusnot on this map

Regulation of Vitamin D Metabolism by Washed Microbiota Transplantation in Patients With Inflammatory Bowel Disease

TypeobservationalSponsorThe Second Hospital of Nanjing Medical UniversityRan2016 to 2021Enrolled200ConditionsIBD
NCT06030752 phase1recruitingnot on this mapstarted 2023, after this paper: background citation

Washed Microbiota Transplantation (WMT) for Autism Spectrum Disorder (ASD)

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2023 to 2027Enrolled80ConditionsAutism Spectrum DisorderArmsWashed Microbiota Transplantation
NCT06106685 phase1 / phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Washed Microbiota Transplantation for Chronic Constipation in Adults: a Single-center, Randomized, Double-blind, Placebo-controlled, Dose-exploring Clinical Study

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2023 to 2026Enrolled18ConditionsConstipationArmsHigh-dose washed microbiota suspension, Low-dose washed microbiota suspension, Placebo
NCT06256614 recruitingnot on this mapstarted 2024, after this paper: background citation

Washed Microbiota Transplantation for Type 1 Diabetes Mellitus: a Real World Research

TypeobservationalSponsorThe Second Hospital of Nanjing Medical UniversityRan2024 to 2029Enrolled50ConditionsType 1 DiabetesArmsWMT
NCT06350448 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Efficacy and Safety of Washed Microbiota Transplantation for Rhinitis

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2024 to 2029Enrolled40ConditionsRhinitisArmsWashed Microbiota Transplantation
NCT06372184 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Efficacy and Safety of Washed Microbiota Transplantation for Allergic Rhinitis: A Randomized, Double-blind, Placebo-controlled Study

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2024 to 2029Enrolled32ConditionsRhinitis, AllergicArmsWashed Microbiota Transplantation, Placebo
NCT06376331 phase1recruitingnot on this mapstarted 2024, after this paper: background citation

Washed Microbiota Transplantation for Attention-deficit/Hyperactivity Disorder and Its Comorbidities

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2024 to 2027Enrolled50ConditionsAttention-deficit/Hyperactivity DisorderArmswashed microbiota transplantation
NCT06708676 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Washed Microbiota Transplantation for Postoperative Complications in Solid Organ Transplantation

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2024 to 2030Enrolled50ConditionsSolid Organ Transplant ComplicationsArmsWashed Microbiota Transplantation
NCT06730451 recruitingnot on this map

Washed Microbiota Transplantation for Postoperative Complications in Solid Organ Transplantation

TypeobservationalSponsorThe Second Hospital of Nanjing Medical UniversityRan2018 to 2028Enrolled50ConditionsSolid Organ Transplant ComplicationsArmsWashed Microbiota Transplantation
3 · Its place in the literature

Who cites it

170 citing papers in PubMed, 8 syntheses or guidelines pooled it, 243 citations in OpenAlex.

  1. Pooled it
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110 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Ting ZhangMedical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Gaochen LuMedical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Zhe ZhaoTianjin Key Laboratory of Optoelectronic Detection Technology and Systems, Tianjin, 300387, China.
Yafei LiuMedical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Quan ShenDepartment of Microbiology, School of Medicine, Jiangsu University, Zhenjiang, 212013, China.
Pan LiMedical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Yaoyao ChenMedical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Haoran YinTianjin Key Laboratory of Optoelectronic Detection Technology and Systems, Tianjin, 300387, China.
Huiquan WangTianjin Key Laboratory of Optoelectronic Detection Technology and Systems, Tianjin, 300387, China.
Cicilia MarcellaMedical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Bota CuiMedical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Lei ChengBiogas Institute of Ministry of Agriculture and Rural Affairs, Chengdu, 610041, China.
Guozhong JiMedical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China.
Faming ZhangMedical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, China. fzhang@njmu.edu.cn.ORCID 0000-0003-4157-1144
Second Affiliated Hospital of Nanjing Medical University · CNTianjin University · CNBiogas Institute of Ministry of Agriculture · CNJiangsu University · CNNanjing University of Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fecal microbiota transplantation (FMT) by manual preparation has been applied to treat diseases for thousands of years. However, this method still endures safety risks and challenges the psychological endurance and acceptance of doctors, patients and donors. Population evidence showed the washed microbiota preparation with microfiltration based on an automatic purification system followed by repeated centrifugation plus suspension for three times significantly reduced FMT-related adverse events. This washing preparation makes delivering a precise dose of the enriched microbiota feasible, instead of using the weight of stool. Intraperitoneal injection in mice with the fecal microbiota supernatant obtained after repeated centrifugation plus suspension for three times induced less toxic reaction than that by the first centrifugation following the microfiltration. The toxic reactions that include death, the change in the level of peripheral white blood cells, and the proliferation of germinal center in secondary lymphoid follicles in spleen were noted. The metagenomic next-generation sequencing (NGS) indicated the increasing types and amount of viruses could be washed out during the washing process. Metabolomics analysis indicated metabolites with pro-inflammatory effects in the fecal microbiota supernatant such as leukotriene B4, corticosterone, and prostaglandin G2 could be removed by repeated washing. Near-infrared absorption spectroscopy could be served as a rapid detection method to control the quality of the washing-process. In conclusion, this study for the first time provides evidence linking clinical findings and animal experiments to support that washed microbiota transplantation (WMT) is safer, more precise and more quality-controllable than the crude FMT by manual.

Indexed as

Fecal Microbiota TransplantationMicrobiotaAnimalsCentrifugationClostridium InfectionsFecesGastrointestinal MicrobiomeHigh-Throughput Nucleotide SequencingInjections, IntraperitonealMaleMetabolomicsMiceMice, Inbred C57BLSuspensionsSuspensionsadverse eventfecal microbiota transplantationinfectionmetabolomicssafetyspectroscopytransplantviruswashed microbiota transplantation

Identifiers

PMID31919742
PMCPMC7093410
OpenAlexW3000378948

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

and 6 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.